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Louisiana rates for HCPCS 90378

Respiratory syncytial virus, monoclonal antibody, recombinant, for intramuscular use, 50 mg, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,857.06 / $1,857.07 / $1,857.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,857.06 / $1,857.07 / $1,857.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$942.24 / $1,709.18 / $2,219.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,660.51 / $1,660.51 / $1,693.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,039.14 / $2,039.14 / $2,039.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,039.14 / $2,039.14 / $2,039.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,781.82 / $2,119.07 / $2,250.34